Kinney Drugs, Inc. #88

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027833 Issued in NY

Legal business name

KINNEY DRUGS, INC. #88

Practice address

6 East Main Street
Marathon, NY 13803-0284

Phone

(607) 849-6156

Fax

(607) 849-6111

NPI assigned

Jul 6, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer M Jones

Title

Third Party Coordinator

Phone

(315) 287-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #87

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1790892974

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1851322937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138030284",
            "telephone_number": "607-849-6156",
            "fax_number": "607-849-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EAST MAIN STREET",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138030284",
            "telephone_number": "607-849-6156",
            "fax_number": "607-849-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY DRUGS, INC. #88",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THIRD PARTY COORDINATOR",
        "authorized_official_telephone_number": "315-287-3600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02752409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Fairbanks, RN
• Family Health Network of Central New York, Inc
• Family Health Network of Central New York, Inc (SBHC- Marathon Jr/Sr High School)
• Family Health Network of Central New York, Inc (SBHC-Marathon Elementary School)
• Nicole Marie Gilbert, FNP
• Carly Alexandra Latta, FNP
• Marathon Area Volunteer Ambulance Corps Inc
• Marathon Central School District
• Terrissa Coretta Martin, M.D.
• Melissa S Maxson-Mattern, RN

• Community/Retail Pharmacy in Marathon, NY
• Providers in Marathon, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.